Systems Physiology I: Cardiovascular, Respiratory, and Renal

Transcription

Systems Physiology I: Cardiovascular, Respiratory, and Renal
Systems Physiology I:
Cardiovascular, Respiratory, and Renal
Systems
Introduction
Bioengineering 6000 CV Physiology
Quote of the Day (Week, or Semester)
“A mediocre person tells. A good person explains. A
superior person demonstrates. A great person inspires
others to see for themselves."
Harvey Mackay
Harvey Mackay (born 1932 in Saint Paul, Minnesota) is a businessman and columnist.
Mackay is perhaps best known as the author of five business bestsellers, including Swim
With the Sharks (Without Being Eaten Alive), Beware the Naked Man Who Offers You His
Shirt and Dig Your Well Before You're Thirsty. He is a nationally syndicated columnist,
and one of America's most popular business speakers. He is also founder, Chairman and
CEO of Mackay Envelope Corporation, whose story he tells in anecdotes sprinkled
throughout his books.
Introduction
Bioengineering 6000 CV Physiology
Organization
• Instructors: Rob MacLeod (macleod@cvrti.utah.edu)
• TA: Andrew Miller (acmiller015@gmail.com)
• Web page:
http://www.sci.utah.edu/~macleod/be6000
• Canvas page:
https://utah.instructure.com/courses/269693
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Bioengineering 6000 CV Physiology
Web Site
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Bioengineering 6000 CV Physiology
Canvas
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Bioengineering 6000 CV Physiology
Lecture Syllabus
• Cardiac electrophysiology/mechanics
– Membrane and cellular structure/function
– Action potentials
– Cardiac tissue and bioelectricity
– Cardiac mechanics, regulation
• Cardiovascular structure/function
– Vascular system
– Hemodynamics, transport, regulation
• Respiration
– Gases and gas transport
– Ventilation
– Regulation
• Renal function
– Osmotic regulation
– Renal transport
– Regulation
Introduction
Bioengineering 6000 CV Physiology
Lab Syllabus
• Sessions:
– Dissection of CV system (bovine heart)
– Regulation of cardiac function (frog)
– Exercise and blood pressure
– ECG
– Pulmonary function
– Simulation
• TA: Andrew Miller (acmiller015@gmail.com)
Introduction
Bioengineering 6000 CV Physiology
Schedule
Introduction
Bioengineering 6000 CV Physiology
Resource Material
• Class web page :
– www.sci.utah.edu/~macleod/be6000
• Text: Eckert Animal Physiology, Randall, Burggren, &
French
• Notes: available before most lectures on the web site
in pdf format.
• Study topic list: prepared before each major test
• Additional references (see web site):
– Human Physiology: An Integrated Approach by Silverthorn
– Physiology by Berne and Levy;
– Mathematical Physiology by Keener and Sneyd
– Cardiovascular Physiology by Mohrman and Heller.
Introduction
Bioengineering 6000 CV Physiology
Labs
• Goals:
– Put theory into practice
– Get exposure to real biological data
– Encourage sound analysis and interpretation
– Develop/improve writing and organizational skills
– Explore Design of Experiments
• Guidelines:
– Generally two lab days per lab (Friday/Monday, Friday/Tuesday,
Wed/Friday)
– Sign up for the lab Doodle Poll: see web site
– Review lab instructions and associated web sites for Friday
– Start of lab time: 12:00 on Friday, 1:00 pm Monday
Introduction
Bioengineering 6000 CV Physiology
Lab Logistics
• Lab time: Friday at 12:00 and Monday at 1:00 PM
• First lab: Friday, Jan 10 (this week!!)
• Lab materials
– Camera (one per team)
– Tolerant, comfortable clothes
Introduction
Bioengineering 6000 CV Physiology
Lab Reports
•
•
•
•
•
•
Writing/presentation is important!
Format varies with the lab
Emphasis on results and discussion
Requirement of clear, logical, concise scientific writing
Plentiful feedback (our job)
Resubmissions allowed (on first two labs)
Introduction
Bioengineering 6000 CV Physiology
My Expectations
Students should:
• Already possess a basic understanding of human
physiology, e.g., Human Physiology: in Integrated
Approach, by Silverthorn
• Already have a working knowledge of MATLAB
• Immediately check Canvas: see web site for
instructions
• Already have previous experience with writing lab
reports
• Plan to read the text (during the semester)
• Plan to read some literature
• Ask questions and participate
Introduction
Bioengineering 6000 CV Physiology
Our Deliverables
We will offer:
• Intermediate level coverage of cardiovascular
physiology
• Generalized approach to physiological systems
• Lab experiences that integrate class material
• Design of experiments
• Feedback and a chance to act on that feedback
• Flexible syllabus based on class interest
• Answers to the Why Should We Care? question at any
time
• Experiment with peer learning
• Accessibility: after class and by email are best
Introduction
Bioengineering 6000 CV Physiology
Grading
• Exams: 3 * 15% = 45% of total grade
– Types of questions
•
•
•
•
True/false with explanation
Describe a mechanism
Explain an observation
Interpret data
• Labs: 30%
– 6 labs with written reports,
• Semester project: 20%
– Written exploration of extreme physiology
• Homework: 5%
– 2-3 homework assignments
– Simulations, calculations
Introduction
Bioengineering 6000 CV Physiology
Death Zone Video
Motivation and background for semester project
Introduction
Bioengineering 6000 CV Physiology
Comments from Video
Structure
Content
Approach
Message
Introduction
Bioengineering 6000 CV Physiology
Lab Scheduling
Introduction
Bioengineering 6000 CV Physiology
Lab Scheduling
Decision
Friday Lab: 2:00
Monday Lab: 1:00
Introduction
Bioengineering 6000 CV Physiology
Lab Scheduling
Heather’s reply re BIOEN 4202 Friday sessions:
“I haven’t had any students in the past approach me with anything
I couldn’t work around, so I don’t anticipate it being an issue the
students can’t manage.”
Introduction
Bioengineering 6000 CV Physiology
Lab Planning and Practice
Goals
Logistics
Careful Execution
Data Acquisition
Before
Cleanup
Data Processing
During
Introduction
After
Bioengineering 6000 CV Physiology
Excellent Photo Example
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Bioengineering 6000 CV Physiology
And Another
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Bioengineering 6000 CV Physiology
Cow Specific Information
Introduction
Bioengineering 6000 CV Physiology
Meanwhile, Back in the Classroom...
Introduction
Bioengineering 6000 CV Physiology
Learning Approach: Problem Solving
Introduction
Bioengineering 6000 CV Physiology
Learning Approach: Motivation
By Force?
Introduction
Bioengineering 6000 CV Physiology
Don’t memorize
Ask Good Questions!
So what are some good questions?
Introduction
Bioengineering 6000 CV Physiology
Learning Approach:
Finding Good Questions
Scott Sandford, NASA
Ann Improb.Res., annual swimsuit issue, 4(2) March/April 1998
Introduction
Bioengineering 6000 CV Physiology
Peer Learning
“Peer learning is based in real work: sharing
what one is doing with others, asking for
support, questions and answers and
feedback.”
wiki.sos.wa.gov/PeerLearning
Introduction
Bioengineering 6000 CV Physiology
Plagiarism
What is it?
1. To use and pass off as one’s own (the ideas or writings of another).
2. To appropriate for use as one’s own passages or ideas from
(another).
3. To put forth as original to oneself the ideas or words of another.
Why is it bad?
Reputation and fraud
The law
Fairness
Self-delusion
www.rbs2.com/plag.pdf
Introduction
Bioengineering 6000 CV Physiology
How Do We Reconcile?
versus
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Bioengineering 6000 CV Physiology
Why Animal Physiology?
Introduction
Bioengineering 6000 CV Physiology
Why Animal Physiology?
Introduction
Bioengineering 6000 CV Physiology
Why Animal Physiology?
Introduction
Bioengineering 6000 CV Physiology
Why Animal Physiology?
• Scientific curiosity
– animals can do things humans
cannot!
• Insights into human
physiology
– source of experimental models
– similarities and differences
important to know
• Bioengineering strategies
– “Bio-based” approach
• Commercial/agricultural
applications
– veterinary medicine
– genetically modified/cloned
animals
Introduction
Bioengineering 6000 CV Physiology
Physiological Has Central Themes
1.Structure/function relationships
2.Methods of change: Adaptation, acclimatization, and acclimation
3.Homeostasis
4.Conformity and regulation
5.Feedback control systems
Introduction
Bioengineering 6000 CV Physiology
1. Structure/Function Relationships
• Function follows from
structure, e.g., different
muscle forms have
different function
– skeletal
– smooth
– cardiac
• Present across scales
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Bioengineering 6000 CV Physiology
2. Mechanisms of Change
Adaptation
Optimality
Good Enough
Dyann Wirth
Adaptation
• Adaptation
– passed by genetic material, slow, not reversible
– occur by mutation, selected by environment
– can be difficult to determine, must bring survival advantages, e.g., same
response to same stress across different species
Introduction
Bioengineering 6000 CV Physiology
2. Mechanisms of Change
Acclimatization and Acclimation
www.aconcaguaexpeditions.com
• Acclimatization
– change in response to exposure to environment
– relatively rapid and reversible
– e.g., response to change in altitude
• Acclimation
– same as acclimatization but induced by
investigator Introduction
Bioengineering 6000 CV Physiology
3. Homeostasis
• System to remove or attenuate
response to external changes
• Produces constant internal
environment
• E.g., body temperature
• Effective across scales
• Different animals respond differently
to same stress
Introduction
Bioengineering 6000 CV Physiology
4. Conformity and Regulation
• Internal = external
• E.g., starfish (salinity)
annelid worms (oxygen)
Introduction
• Internal != external
• E.g., crustations (oxygen)
mammals (temperature, etc.)
Bioengineering 6000 CV Physiology
5. Feedback control
• Central to all physiology
• Mechanism for
homeostasis
• Positive versus negative
feedback
• Set point
• Gain
Introduction
Bioengineering 6000 CV Physiology
Causality and Teleology
• Teleology:
– “A thing, process or action is teleological when it is for the sake
of an end, i.e., a telos or final cause.”
– “The use of ultimate purpose or design as a means of explaining
phenomena.”
– Avoid this type of thinking in science as we cannot tell purpose.
• Example (from lab report):
– “One initial observation is that the right lung is much larger than
the left lung. This makes sense physiologically since the heart is
generally located on the left side of the body; therefore to
optimize lung capacity, the right lung has more room inside of
the body to grow.”
Introduction
http://www.answers.com/topic/teleology
Bioengineering 6000 CV Physiology
Features of Cardiovascular Physiology
(Why engineers might hate physiology)
– Blood is thicker than water (it is a suspension of particles)
– Blood vessels are not pipes (walls are elastic, contractile)
– The heart is a "permissive" pump (follows rather than leads)
– Most heart failure is electrical not mechanical in origin
(Why engineers should love physiology)
– Physiology is physics (just complicated physics)
– Homeostasis = control
Introduction
Bioengineering 6000 CV Physiology
Overall Causes of Death
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Bioengineering 6000 CV Physiology
World CV Death rates (men)
CV Diseases
All Causes
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Bioengineering 6000 CV Physiology
World CV Death rates (women)
All Causes
CV Diseases
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Bioengineering 6000 CV Physiology
CHD
CV Disease Rates: US
Rank: Low to High
#1: New Mexico
#52: New York
Utah: #3
Stroke
#1: New York
#52: S. Carolina
Utah: #11
Introduction
Bioengineering 6000 CV Physiology
The Updated Trends
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Bioengineering 6000 CV Physiology
Cardiovascular System Overview
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•
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The plumbing: circulation systems in the body
The wiring: cardiac electrophysiology
The pump: the heart as a pump
The flow: blood and hemodynamics
The control: brain/hormonal/local, feedback
Introduction
Bioengineering 6000 CV Physiology
Cardiovascular System Regulation
Arterial Pressure
Brain
• Goal: adequate flow
• Process: pump and flow
• Regulation: parallel
circuit with valves
• Sensors?
• Feedback?
Aorta
Heart
Vena Cava
Kidney
Blood
Urine
Skeletal muscle
Introduction
Bioengineering 6000 CV Physiology